JONATHAN GENDEL (MD) – Internal Medicine Physician, NPI 1639160633
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
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Provider Addresses for JONATHAN GENDEL (MD)
901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States
MAILSTOP 400N
KANSAS CITY, MO 64131
Phone: (816) 502-7104
Fax: (816) 932-9670
Type: Mailing
Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States
LEES SUMMIT, MO 640866007
Phone: (816) 347-5600
Fax: (816) 347-5674
Type: Location
4061 INDIAN CREEK PKWY
OVERLAND PARK, KS 662074030
Phone: (913) 317-7990
Fax: (913) 317-7018
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040324001056 | I | Internal Medicine | MO | TBD |
| I20120424000631 | I | Internal Medicine | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,244 | 620 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 478 | 478 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 337 | 337 | $0 |
| G0008 | Administration of influenza virus vaccine | 129 | 127 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 127 | 125 | $0 |
Insurance plans in this area (ZIP 64131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MO | |
| Diagnostic Radiology | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | MO | |
| Hospitalist, Internal Medicine | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO |
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